DISASTER MANAGEMENT PLAN

Transcription

1 DISASTER MANAGEMENT PLAN INDEX S.NO CONTENTS PAGE NO. 1 Action Plan 2 2 List of Committee Member 6 3 Nodal Centers & Contact Numbers 8 4 Command Chart 11 5 Duties and Responsibilities of various levels 12 6 Logistics 15 7 Outside Contacts: 16 a. State Emergency Operation Center b. Directorate of Medical Services, Tirupati

2 ACTION PLAN Call Receiving Line 1( / ). Call will be received by the Casualty Medical Officer-I on duty within 3 rings and responded by him. Alternative contact number for CMO-I Call receiving line for Emergency Room ( / ) For communication to and from Director, MS Office and 7 Heads of the Departments and Officer in charge of Blood bank, MRD, Pharmacy, CSSD, NS, Transportation in-charge The plan will be activated by the Director/MS on receiving any information on disaster or mass casualty. On Patients Arrival Patients Received from Ambulance by the nursing / Doctor team, direction for vehicle transport given by the Security officer in-charge of EM/Casualty Triage Team 1 Triage team2 (Existing Triage Desk, Just Inside Casualty) (In the Fast Track area, outside lobby of casualty) 2

3 CMO 2 Nursing Sister 1 Staff Nurse 1 EMT 1 Nursing Sister2 Staff Nurse2 EMT2 EM Resident 1. EM Resident 2. Subramanyam ( ) Dr. Sowjanya ( ) Allocation color coding for directing patients to the designated area Life Threatening Injuries RED: Department of EM Trauma: Resuscitation/then to OT or in main Casualty room Left half beds Non-Life Threatening Injuries YELLOW: Casualty Rooms-Right half beds Minor Injuries GREEN: Medical ward to left of Casualty Expired Area near Mortuary The In charge in these designated areas will function with the team members to co-ordinate patient flow and care 3

4 RED: In the Department of Emergency and Trauma Resuscitation (12beds on left half of casualty) Dr (EMS/ICU) Team 1 Team 2 Team3 Each team consisting of: Faculty: EM: Dr. Krishna Reddy( ), Surg: Dr. Hari Hara Sastry( ), Med: Dr. Alladi Mohan( ), Ortho, Neurosurg: Dr. Sidda Reddy( ), CTVS: Dr. Abha Chandra( ), Cardiology: Dr. Rajasekar( ) EMS SR 1,2 EMS PG: 1Dr. Venkata Sastry( ), 2.Dr. B. Sivaram( ) 3. Dr. Ratna Kumar( ),4. Dr. Kiran Kumar( ) Surgery Residents: 1. Dr. K. Kishore( ),2. Dr. Nawaz Mazeed( ) Cardiology: 1. Dr. Ravikanth( ), 2. Dr. Vamsidhar( ), 3. Dr. Vasudeva Chetty( ) Orthopaedics Resident: 1,2 Anaesthesia Resident: 1. Dr. Shameem ( ), 2. Dr. Moshin( ) Medicine Resident: 1. Dr. P. Sumanth Reddy( ),2. Dr. Sai Nelima( ) Neurosurgery Resident: 1. Dr. V. Balaji( ) AED: Cardiology: Sailaja, Head Nurse ( ) Neurosurgery Resident, CTVS Resident, Plastic Surgery All communications from the resuscitation area will be to the OT s, Blood Bank, Various step down wards will be through A meeting should be convened by the HOD of EM & Trauma with the CMO s, Residents, Sister in charge during the preparatory phase 4

5 Yellow: Casualty Room -Right side beds Categorize: Medical (VS) Surgical TEAM 1 (MEDICAL) FACULTY: MEDICINE: Dr. Katyyarmal( ), Cardiology: Dr. Rajasekar( ), Hematology: Dr. Chandrasekar( ), Nephrology: Dr. Anjumi( ) Pediatrics: Dr. Sudha Priya( ) Neurology: Dr. T. Naveen( ) Casualty Medical Officer: Dr. Sunitha( ) Residents: Medicine: Dr. P. Sumanth Reddy( ) Cardiology: Dr. Sudhakar Reddy( ) Hematology: Nephrology: Dr. Anil( ) Pediatrics: Dr. Vamsi( ) Neurology: Mr. M. Sarat( ) TEAM 2 (SURGICAL) FACULTY: Surgery: Dr. Kishore Babu( ) Anesthesia: Dr. Alok Samantharay( ) Dentistry: Dr. Vani Priya( ) ENT: Dr. Amarnath( ) OBG: Dr. Vijayalakshmi( ) Surgical GE: Dr. Chandra Maliteeswaran: ( ) Urology: Dr. Sri Ranga( ) Neurosurgery: Dr. Krishna Mohan( ) Casualty Medical Officer: Dr. Jagadish( ) Residents/Asst. Prof.: General Surgery: Dr. Ramakrishna( ) Dr. Nagesh ( ) Anaesthesia: Dr. Brinda( ) Dentistry: ENT: Dr. Guru Prakash( ) OBG:Dr. V. S. Hema( ) Surgical GE: 1. Dr. Varun( ) 2. Dr. G. Ramnaresh( ) Surgical Oncology: Dr. Ramesh Reddy( ) Urology: Dr. Prasad( ) Neuro Surgery: Dr. Ravikumar( ) Cross Cutting support: Labs, Blood Bank, Radiology, Nuclear Medicine, and Psychiatry 5

6 NODAL CENTERS SEVEN NODAL POINTS AT SVIMS: a. Main Nodal Centers 1. Directors Office 2. Medical Superintendent Office 3. Emergency and Trauma Department/Casualty 4. Main Hospital Building-Ward? 5. Academic Center-Deans/Registrar s office 6. Auditorium-Back up Vehicle Positioning 7. SPMC Hospital (Hospital for Pregnant women) Staff Contact Numbers 1. Directors Office Designation Name Intercom/Landline Mobile Director Dr T.S. Ravikumar 2222/ PS to Director Mr. G. Babu 2416/ PA to Director Mr. B. Madhu Babu 2212 / PA to Director Mrs. Kumari 2212 / PA to Director Mr. Sreenivas 2212 / Medical Superintendent Office Designation Name Intercom/Landline Mobile Medical Superintendent Dr. V. Satyanarayana 2265/ RMO-1 & RMO-II Mr. M. Sreekanth Mr. Sekar Dr. B. Govinda narayana Dr. K. V. Koti Reddy PA to Medical Superintendent PA to Medical Superintendent / /

7 3. Academic Center-Deans office Designation Name Intercom/Landline Mobile Dean Dr. B. C. M. Prasad 2458/ Ps to Dean Mrs. Dhanalakshmi 2458/ Hostel Warden in chief Dr. Subhadra Devi Hostel Deputy Warden Dr. Aparna Bhide Hostel Assistant Warden Dr. Sree Gouri COMMAND CHART DIRECTOR / MEDICALSUPERINTENDENT ( / ) DIRECTOR OFFICE G. Babu / B. Madhu / TRANSPORTINCHARGE Mr. G. Suresh Kumar PHARMACYINCHARGE Dr. P. Subramanyam MRD INCHARGE Mr. Murali CSSDINCHARGE E. Bhuvaneswari OT/EMS OT INCHAGE TRAUMA INCHARGE Dr. N. Hemanth EMERGENCYINCHARGE Dr. V. Satyanarayana Dy. Director (S&P) Mr. Dilip Kumar RADIOLIGYINCHARGE Dr. Vijayalakshmi Devi Dy. Director (A) Dr. N. Adikrishnaiah BLOOD BANK OFFICER Dr. Arun Ortho Consultant -Surgery Consultant Mr. Prasad Computer Assistant Accounts Officer Ch. Sanjeevaiah Neurosurgery Consultant -Anaesthesia Consultant -CTVS Consultant -Nursing Sister OT 11

8 DUTIES AND RESPONSIBILITIES OF VARIOUS LEVELS 1. Director s office 2. Medical Superintendent Office 3. EMERGENCY MEDICINE AND TRAUMA DEPARTMENT (Casualty) 1. Triage team: -Rapid assessment and triage, to shift the patients to the designated area 2. Additional Professor: -To activate the Team in Emergency Department -Overall supervision and Monitoring -First Contact Person in Emergency Department for Directors and MS office 3. GDMO1 - Clear the emergency department of all patients (either admit or discharge) - Inform the chief nurse to organize additional trolleys, drugs and disposables - Allot CMO & ACMOs to different receiving area - Contact Person for EM & Trauma Chief GDMO2: - Triage In-Charge 4. Assistant Professor - Management of flow of patients in and out of Resuscitation and ICU - To co ordinate with the Residents for management of patients - To communicate with the Sister-in-charge, ICU for necessary arrangements - Reorganize the shift duty for next day 5. HOD s of 7Departments: - -To ensure that all the members from the corresponding duty team at Emergency are available - To supervise and guide the Residents and Doctors for quick treatment and disposition of patients from the Emergency ICU or Resuscitation to the inpatient areas (EMS or Trauma OT and Recovery rooms, Trauma ward (55 beds), 1 st floor ward-50beds) 12

9 Professor and Head, Anaesthesia: - To designate in charge consultants for EMS-OT, Trauma ward (Assistant Professor) - Oversee functioning of OT - Send JR to Emergency to do PAC for patients requiring surgery - Redeploying additional residents and consultants depending on number of surgical cases posted. 6. HOD Radiodiagnosis: - To depute adequate manpower in terms of Residents and Technicians - To supervise for the Functioning of Emergency Radiology Section (X-rays, CT,USG) 7. HOD Blood Bank, Officer-in-charge of Pharmacy and CSSD: - To ensure the availability of Essential life saving materials including blood and to co- ordinate their services 8. Deputy Medical Superintendent - To oversee and guide Medical Officers and Residents in all Medico legal cases - To co ordinate arrangements for post mortem if required - -To co ordinate with the D Nagar police if required 9. CMO: Documentation of all medico legal cases 10. Nursing Superintendent -Overall supervision of functioning, including guidance and help for DNS, ANS, Sister in charge Emergency 11. Sister In charge, Emergency Department: - Arrange to shift patients towards after getting a list of vacant beds - Arrange for adequate number of mattresses for emergency beds - Contact nursing sister to depute necessary additional staff - Drug, suppliers and equipment to be kept ready - Allot number of staff nurses for triage I, II area - Shift patients to OT, ICU, ward as specified by doctors 13

10 12. Medical Records Chief: - Mobilize extra staff to Emergency to register cases - Designate one staff to keep up to date records of hospital bed position and the vacant number of beds to Emergency number. 13. Security Supervisor: To arrange for sufficient manpower for crowd control, vehicle parking in all areas of Hospital 14. G4S Supervisor: To supervise cleaning and maintenance of all designated areas, safe disposal of hospital wastes, housekeeping etc by deploying sufficient manpower. Roles and Responsibilities 4. MAIN HOSPITAL BUILDING-WARD? As a back up area if necessity arrives. May get additional members from the Dean s Office as required Roles and Responsibilities 5. ACADEMIC CENTER-DEANSOFFICE Dean along with the help of Wardens to look after the arrangements for the additional back up support members if necessity arrives (PG s of various nonclinical departments, Interns and students of Medical and Nursing College) 6. AUDITORIUM-BACK UP VEHICLEPOSITIONING Roles and Responsibilities As an additional area for back up vehicle positioning Mr Ramkumar along with Mr Velmurugan to co ordinate the arrangements for back up support and Transport arrangements if required 14

11 7. SPMC Hospital (Hospital for Pregnant women) Roles and Responsibilities 15 To identify the area for level 3 cases (Yellow tag: Non life threatening Injuries): - For receiving patients and for primary assessment - To identify areas for patient admission in Super specialty block Head of SSB along with HOD of EM and Trauma to coordinate for the supervision of arrangements, and to supervise the team members from the OPD duty teams. Nursing Superintendent and DNS to arrange for the members (Staff Nurse and other supporting staff) and to supervise them. LOGISTICS LOGISTICS 1. List of manpower with phone numbers (Unit Doctors on duty) 2. List of medicines 3. Dressing & Suture materials 4. Splints 5. Beds Beds in Emergency Department Ground floor - 10 resuscitation beds - 10 trolleys First floor - 50beds Fourth floor - 40beds ICU Beds - Trauma centre ICU - 6Beds Trauma centre recovery room - 6 beds Burns ICU - 6Beds 15

12 Triage Area Priority 1 & 2 patients with Triage team I &II Emergency ground floor Priority 3 patients with triage team III SSBOPD Shelter for patient s attendants: - In front of - Near EMS Registration Counter -Near ambulance garage OUTSIDE CONTACTS State Emergency Operation Center Directorate of Medical Services, Airport Authority disaster centre. Tirupati disaster management centre/collector s office Supdt. of Police Fire Station 16